1. A 5-year-old child is hit in the face with a baseball bat and is brought to the
clinic by a parent. An exam reveals three avulsed front teeth. Radiologic stud-
ies are negative for facial fractures. What is the recommended treatment?
A. Prescribe tetracycline 4.4 mg/kg twice daily for 7 to 10 days.
B. Refer the child to a dentist for reimplantation of the avulsed teeth.
C. Refer the child to a dentist immediately for further examination
D. Remove th.e teeth, place them in saline, and refer the child to a dentist.: C.
Refer the child to a dentist immediately for further examination
2. A 2-month-old infant will receive initial immunizations, and the parent asks
about giving medications to increase the infant's comfort and minimize fever.
What will the pediatric nurse practitioner recommend?
A. Administering ibuprofen or acetaminophen as needed
B. Avoiding antipyretics if possible, to attain better immunity
C. Giving ibuprofen and acetaminophen only after the vaccines
D. Pretreating the infant with both ibuprofen and acetaminophen: A. Administering
ibuprofen or acetaminophen as needed
3. The primary care pediatric nurse practitioner is examining a 6-year-old
Child who attends first grade. The child reports "hating" school. The parent
states that the child pretends to be sick frequently in order to stay home from
school. To further assess this situation, the nurse practitioner will first ask the
child
A. about school performance and grades.
B. why school is so distressing.
C. to name one or two friends.
D. whether bullying is taking place.: C. to name one or two friends
,4. The parent of a 10-year-old boy tells the primary care pediatric nurse prac-
titioner that the child doesn't appear to have any interest in girls and spends
most of his time with a couple of other boys. The parent is worried about the
child's sexual identity. The nurse practitioner will tell the parent
,A. children at this age who prefer interactions with same gender peers usually
have a homosexual orientation.
B. children experiment with sexuality at this age as a means of deciding later
sexual orientation.
C. this attachment to other same gender children is how the child learns to
interact with others.
D. to encourage mixed gender interactions in order to promote development
of sexual values.: C. this attachment to other same gender children is how the child learns to interact with
others.
5. The parents of a 12-year-old
child are concerned that some of the child's older classmates may be a bad
influence on their child, who, they say, has been raised to believe in right and
wrong. What will the primary care pediatric nurse practitioner tell the parent?
A. Allowing the child to make poor choices and accept consequences is
important for learning values
B. Children at this age have a high regard for authority and social norms, so
this is not likely to happen
C. Moral values instilled in the early school age period will persist throughout
childhood
D. The pressures from outside influences may supersede parental teachings
and should be confronted: D. The pressures from outside influences may supersede parental teachings
and should be confronted
6. During a well child exam of a school age child, the primary care pediatric
nurse practitioner learns that the child has been having angry episodes at
school. The nurse practitioner observes the child to appear withdrawn and
sad. Which action is appropriate?
A. Ask the child and the parent about stressors at home
B. Make a referral to a child behavioral specialist
C. Provide information about anger management
, D. Suggest consideration of a different classroom: A. Ask the child and the parent about
stressors at home
7. The primary care pediatric nurse practitioner is preparing to conduct a well
child assessment of an 8-year-old child. How will the nurse practitioner begin
the exam?
A. Ask the child about school, friends, home activities, and sports
B. Discuss the purpose of the visit and explain the procedures that will be
performed
C. Offer age appropriate information about usual developmental tasks
D. Provide information about healthy nutrition and physical activities: A. Ask the
child about school, friends, home activities, and sports
8. The parent of a 6-year-old child expresses concern that the child may have
ADHD. Which screening tool will the primary care pediatric nurse practitioner
use to evaluate this possibility?
A. Behavioral and Emotional Screening System for Children (BESS2)
B. Behavioral Assessment for Children - 2nd ed. (BASC2)
C. Conner's 3 Parent and Teacher Rating Scale
D. Pediatric Symptom Checklist (PSC): C. Conner's 3 Parent and Teacher Rating Scale
9. The parent of a 5-year-old child who has just begun kindergarten expresses
concern that the child will have difficulty adjusting to the birth of a sibling.
What will the primary care pediatric nurse practitioner recommend?
A. Allowing the child opportunities to discuss feelings about the baby
B. Giving the child specific baby care tasks to promote sibling bonding
C. Having snack time with the child each day to discuss the school day
D. Providing reassurance that the sibling will not replace the child: C. Having snack
time with the child each day to discuss the school day
10. A school age child has begun refusing all cooked vegetables. What will the
primary care pediatric nurse practitioner recommend to the parent?
clinic by a parent. An exam reveals three avulsed front teeth. Radiologic stud-
ies are negative for facial fractures. What is the recommended treatment?
A. Prescribe tetracycline 4.4 mg/kg twice daily for 7 to 10 days.
B. Refer the child to a dentist for reimplantation of the avulsed teeth.
C. Refer the child to a dentist immediately for further examination
D. Remove th.e teeth, place them in saline, and refer the child to a dentist.: C.
Refer the child to a dentist immediately for further examination
2. A 2-month-old infant will receive initial immunizations, and the parent asks
about giving medications to increase the infant's comfort and minimize fever.
What will the pediatric nurse practitioner recommend?
A. Administering ibuprofen or acetaminophen as needed
B. Avoiding antipyretics if possible, to attain better immunity
C. Giving ibuprofen and acetaminophen only after the vaccines
D. Pretreating the infant with both ibuprofen and acetaminophen: A. Administering
ibuprofen or acetaminophen as needed
3. The primary care pediatric nurse practitioner is examining a 6-year-old
Child who attends first grade. The child reports "hating" school. The parent
states that the child pretends to be sick frequently in order to stay home from
school. To further assess this situation, the nurse practitioner will first ask the
child
A. about school performance and grades.
B. why school is so distressing.
C. to name one or two friends.
D. whether bullying is taking place.: C. to name one or two friends
,4. The parent of a 10-year-old boy tells the primary care pediatric nurse prac-
titioner that the child doesn't appear to have any interest in girls and spends
most of his time with a couple of other boys. The parent is worried about the
child's sexual identity. The nurse practitioner will tell the parent
,A. children at this age who prefer interactions with same gender peers usually
have a homosexual orientation.
B. children experiment with sexuality at this age as a means of deciding later
sexual orientation.
C. this attachment to other same gender children is how the child learns to
interact with others.
D. to encourage mixed gender interactions in order to promote development
of sexual values.: C. this attachment to other same gender children is how the child learns to interact with
others.
5. The parents of a 12-year-old
child are concerned that some of the child's older classmates may be a bad
influence on their child, who, they say, has been raised to believe in right and
wrong. What will the primary care pediatric nurse practitioner tell the parent?
A. Allowing the child to make poor choices and accept consequences is
important for learning values
B. Children at this age have a high regard for authority and social norms, so
this is not likely to happen
C. Moral values instilled in the early school age period will persist throughout
childhood
D. The pressures from outside influences may supersede parental teachings
and should be confronted: D. The pressures from outside influences may supersede parental teachings
and should be confronted
6. During a well child exam of a school age child, the primary care pediatric
nurse practitioner learns that the child has been having angry episodes at
school. The nurse practitioner observes the child to appear withdrawn and
sad. Which action is appropriate?
A. Ask the child and the parent about stressors at home
B. Make a referral to a child behavioral specialist
C. Provide information about anger management
, D. Suggest consideration of a different classroom: A. Ask the child and the parent about
stressors at home
7. The primary care pediatric nurse practitioner is preparing to conduct a well
child assessment of an 8-year-old child. How will the nurse practitioner begin
the exam?
A. Ask the child about school, friends, home activities, and sports
B. Discuss the purpose of the visit and explain the procedures that will be
performed
C. Offer age appropriate information about usual developmental tasks
D. Provide information about healthy nutrition and physical activities: A. Ask the
child about school, friends, home activities, and sports
8. The parent of a 6-year-old child expresses concern that the child may have
ADHD. Which screening tool will the primary care pediatric nurse practitioner
use to evaluate this possibility?
A. Behavioral and Emotional Screening System for Children (BESS2)
B. Behavioral Assessment for Children - 2nd ed. (BASC2)
C. Conner's 3 Parent and Teacher Rating Scale
D. Pediatric Symptom Checklist (PSC): C. Conner's 3 Parent and Teacher Rating Scale
9. The parent of a 5-year-old child who has just begun kindergarten expresses
concern that the child will have difficulty adjusting to the birth of a sibling.
What will the primary care pediatric nurse practitioner recommend?
A. Allowing the child opportunities to discuss feelings about the baby
B. Giving the child specific baby care tasks to promote sibling bonding
C. Having snack time with the child each day to discuss the school day
D. Providing reassurance that the sibling will not replace the child: C. Having snack
time with the child each day to discuss the school day
10. A school age child has begun refusing all cooked vegetables. What will the
primary care pediatric nurse practitioner recommend to the parent?
